Ehlers-Danlos Syndrome (EDS) and hypermobility spectrum disorders profoundly impact foot health due to weakened connective tissues and ligament laxity. Common complications include chronic ankle instability, collapsed arches (flat feet), plantar fasciitis, and toe deformities like bunions. These issues can cause pain, fatigue, and affect knee, hip, and back alignment.
Common Foot Issues in EDS
- Ankle Instability: Weak ligaments lead to chronic pain and frequent sprains or rolling of the ankles.
- Collapsed Arches (Pes Planus): An estimated 55% of individuals with EDS experience flat feet, though some may paradoxically experience high arches.
- Plantar Fasciitis: Severe heel and foot pain, often worst in the morning or after resting.
- Toe Deformities: Conditions such as hallux valgus (bunions) or hammer toes.
- Skin Fragility: Skin on the feet is easily bruised, prone to blisters, and may heal slowly.
- Neuropathy: Small fibre neuropathy can cause burning sensations or “pins and needles”.
Management and Treatment Options
Because foot mechanics dictate how the rest of your body moves, a systemic approach is generally required.
- Supportive Footwear and Orthotics: Custom orthotics and supportive, well-fitted shoes are often recommended to help stabilize the joints and correct gait abnormalities.
- Physiotherapy: A physiotherapist familiar with hypermobility can help strengthen the foot and ankle muscles, which often become deconditioned.
- Podiatry Care: Consulting an EDS-aware podiatrist can ensure you receive specialized care for recurring sprains, blisters, and structural issues.
- Gait Training: Learning how to walk and stand effectively to reduce the strain on your kinetic chain
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